Pyogenic granuloma, or the currently preferred histologic term lobular capillary hemangioma, occurs during infancy, typically as a single polypoid nodule that bleeds easily on palpation. The face, lip, and oral cavity, particularly the gingiva, and umbilicus are common sites.1- 3 It is usually painless, develops rapidly, and may range in size from a few millimeters to a few centimeters. The current thinking is that this lesion represents a benign neoplasm, a form of capillary hemangioma, rather than a reactive infectious or traumatic process.2 Pyogenic granuloma has a diagnostic, lobular arrangement of capillaries at its base. The lobules are composed of discrete clusters of endothelial cells, and the lumina vary from indistinct to prominent. The surface of the lesion may undergo secondary, nonspecific changes that include stromal edema, capillary dilation, inflammation, and a granulation tissue reaction.2 The presence of an epithelial collarette, which was present in our patient (Figure 2), distinguishes the pyogenic granuloma from a capillary hemangioma.2- 3 Management consists of complete surgical excision.1,4 If not completely excised, the lesion eventually scleroses.